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Organization

SOUTHERN CALIFORNIA MULTI-SPECIALTY CENTER INC

Active
Parent organization
SOUTHERN CALIFORNIA MULTI-SPECIALTY CENTER INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHERN CALIFORNIA MULTI-SPECIALTY CENTER INC
Authorized official
BABAK EGHBALIEH MD (MANAGING PARTNER)
(818) 900-6480
Entity
Organization

Contact information

Practice address
18345 VENTURA BLVD STE 510, TARZANA, CA 91356-4245
(818) 900-6488
Mailing address
PO BOX 5989, ORANGE, CA 92863-5989
(747) 276-3049

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician
213E00000X
Podiatrist
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
06/09/2023
Last updated
06/15/2023
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